Zalzal G H
Department of Otolaryngology, Children's Hospital National Medical Center, Washington, DC. 20010.
Laryngoscope. 1988 Aug;98(8 Pt 1):849-54. doi: 10.1288/00005537-198808000-00012.
The keys to successful outcome in surgical repair of laryngotracheal stenosis in children are choice of surgical procedure, including possible need for stenting; choice of type and length of stent; and duration of stenting. Choosing the appropriate method for stenting requires considering consistency of stenosis, altered anatomy, size, location, and stability of grafts when used for surgical repair and host tissue healing factors. Possible stents that can be used include endotracheal tubes, Silastic sheet rolls, Montgomery T-tubes, and laryngeal stents. This study investigates the effectiveness of the Aboulker stent, an increasingly popular stent for use in children. Indications and associated technical considerations for using the stent in 18 cases are reviewed. Postoperative care and follow-up, directed against infection and towards securing the stent in its original location, and management of complications are discussed.
小儿喉气管狭窄手术修复成功的关键在于手术方式的选择，包括可能需要的支架置入；支架类型和长度的选择；以及支架置入的持续时间。选择合适的支架置入方法需要考虑狭窄的一致性、解剖结构改变、手术修复时移植物的大小、位置和稳定性以及宿主组织愈合因素。可使用的可能支架包括气管内导管、硅橡胶片卷、蒙哥马利T形管和喉支架。本研究调查了Aboulker支架的有效性，该支架在儿童中越来越受欢迎。回顾了18例使用该支架的适应证及相关技术要点。讨论了针对感染、确保支架原位固定的术后护理和随访以及并发症的处理。
